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CBT - Pharmacology Edited
CBT - Pharmacology Edited
Total points16/63
All but one are Nursing teachings for patients taking
Allopurinol:
0/1
Instruct patient to take the drug after meals
Educate the patient that he may experience these side
effects: nausea, vomiting, loss of appetite (take after meals
or eat frequent small meals); drowsiness (use caution while
driving or performing hazardous tasks)
Correct answer
Caution patient to chew medication
What advice do you need to give to a patient taking Allopurinol?
1/1
Drink 8 to 10 full glasses of fluid every day, unless your
doctor tells you otherwise
Correct answer
Increase fluid intake 2 - 3 liters per day
Mild pain after surgery and pain is reduced by taking which
medicine
0/1
Paracetamol
Ibuprofen
Paracetamol with codeine
Paracetamol with morphine
Correct answer
Paracetamol
A Ibuprofen 200mg tablet has been prescribed. You only have a
400mg coated ibuprofen tablet. What should you do?
0/1
Give half of the tablet
Correct answer
Order the different dose of tablet from pharmacy
Dennis was admitted because of acute asthma attack. Later on in
your shift, he complained of abdominal pain and vomited. He
asked for pain relief. Which of the following prescribed
analgesia will you give him?
0/1
Fentanyl buccal patch
Correct answer
Paracetamol suppositories
What to teach a young patient when he is taking antibiotics
0/1
Take it during morning and complete the dose
Don’t take it with alcohol
Take it with food or after meal and complete dose
Medication may cause hypotension
Correct answer
Don’t take it with alcohol
John, 18 years old is for discharge and will require further dose
of oral antibiotics. As his nurse, which of the following will you
advise him to do?
0/1
Take with food or after meals and ensure to take all
antibiotics as prescribed
Correct answer
Take all antibiotics and as prescribed
What instructions should you give a client receiving oral
Antibiotics?
0/1
Consume it all at once
Take the antibiotic with glass of water
Correct answer
Take the medication as prescribed and complete the course
When should prescribed antibiotics be administered to a
septicaemic patient?
0/1
Immediately after admission
After getting blood culture result
Correct answer
Immediately following blood drawn for culture
When will the doctor prescribe a broad-spectrum antibiotic?
0/1
On admission
Correct answer
When septicemia is suspected
Which of the following should be considered before giving
digoxin?
0/1
Allergies
Drug interactions
Other interactions with food or substances like alcohol and
tobacco
Medical problems (thyroid problems, kidney disease, etc )
Correct answer
All of the above
Before administering Digoxin, you must check specifically for
what?
0/1
Breathing
Heart Rate
Temperature
LOC
Correct answer
Heart Rate
Tony is prescribed Lanoxin 500 mcg PO. What vital sign will
you assess prior to giving the drug?
1/1
Heart rate and rhythm
Amoxicillin
Anticoagulants
Correct answer
NSAID
Which drug to be avoided by a patient on digoxin?
0/1
Corticosteroid
NSAID
Correct answer
NSAID
Which of these medications is not administered with digoxin?
0/1
Diuretics
Corticosteroids
Antibiotics
NSAIDs
Correct answer
NSAIDs
The nurse monitors the serum electrolyte levels of a client who
is taking digoxin (Lanoxin). Which of the following electrolyte
imbalances is common cause of digoxin toxicity?
0/1
Hypocalcemia
Hyponatremia
Hypomagnesemia
Hypokalemia
Correct answer
Hypokalemia
Patient has next dose of Digoxin but has a CR=58
0/1
Omit dose, record why, and inform the doctor
Give dose and tell the doctor
Give dose as prescribed
Correct answer
Omit dose, record why, and inform the doctor
An adult who has gastroenteritis and is on digitalis has lab
values of ; K 3.2 mEq/L , Na 136 mEq/L, Ca 4.8 mEq/L , and Cl
98 mEq/L. The nurse puts which of the following on patient’s
plan of care?
0/1
Monitor for hyperkalemia
Avoid foods rich in potassium
Observe for digitalis toxicity
Observe for Trousseau’s and Chvostek’s signs
Correct answer
Observe for digitalis toxicity
Mrs X has been admitted in the hospital due to oedema of her
thighs. One of her medications was Furosemide 40 mg tablets to
be administered once daily. What should be done prior to
administering Furosemide?
1/1
Check patient’s blood pressure, and withhold Furosemide if
it is low
Correct answer
When use furosemide
A patient receiving Lasix daily is admitted with a diagnosis of
dehydration and hypokalaemia. The patient's IV fluid is 1000
mL 0.9% normal saline with 20 mEq of potassium chloride
infusing at 125 mL/hour. What is most important for the nurse to
assess?
1/1
Food intake
Intravenous site
Intake and output
Respiratory depression
Dry sticky mucous membranes
Correct answer
Muscle weakness
Loop diuretics are used in pulmonary oedema due to left
ventricular failure (BNF 2015). How long should furosemide be
administered intravenously?
0/1
Intravenous administration rate should not exceed 1
mg/minute
Intravenous administration rate should not exceed 2
mg/minute
Correct answer
Intravenous administration rate should not exceed 4 mg/minute
In which of the following situations might nitrous oxide
(Entonox) be considered?
1/1
A wound dressing change for short term pain relief or the
removal of a chest drain for reduction of anxiety
For pain relief during the insertion of a chest drain for the
treatment of a pneumothorax
1-2 min
3-5 min
Correct answer
1-2 min
Select which is not a proper way of administering eye drops?
1/1
Ask the patient to sit back with neck slightly hyoerextended
or lie down
Ask the patient to close their eyes and keep them closed for
1-2mins
Correct answer
Sitting position with head tilt backwards
Jim is to receive his eyedrops after his cataract operation. What
is the best position for Jim to assume when instilling the
eyedrops?
1/1
Sitting position, head tilted backwards
Tap water
Correct answer
Sterile 0.9% sodium chloride
What is the most important health teaching that the nurse should
give to a patient taking glycerine tri-nitrate (GTN)?
0/1
Keep the tablets in a glass airtight container with a rubber-
lined cap and away from sunlight
Correct answer
Keep the tablets in a glass airtight container, protected from
sunlight, and should be used for not more than 8 weeks of first
opening of the bottle as the tablets can get old
What angle to inject via subcutaneous route?
1/1
90
40
45
15
What is not a good route for IM injection?
1/1
Upper arm
Thigh
Stomach
Buttocks
Which is the most dangerous site for intramuscular injection?
0/1
Ventrogluteal
Deltoid
Rectus femoris
Dorsogluteal
Correct answer
Dorsogluteal
Which of the following is the most dangerous site for IM
injection?
0/1
Deltoid
Thigh
Abdominal area
Buttocks
Correct answer
Buttocks
Rectus Femoris
Greater trochanter area
Correct answer
Ventrogluteal site
The degree of injection when giving subcutaneous insulin
injection on a site where you can grasp 1 inch of tissue?
0/1
45 degrees
40 degrees
25 degrees
90 degrees
Correct answer
90 degrees
When administering injection in the buttocks, it should be given:
0/1
Right upper quadrant
Left upper quadrant
Right lower quadrant
Correct answer
Right upper quadrant
Which is the best site for giving IM injection on buttocks
1/1
Upper outer quadrant
Correct answer
Levothyroxine is best taken one hour before breakfast
You are the night nurse in a nursing home. Maxine, 81 years
old, has been prescribed with Lorazepam PRN. You have
assessed her to be wandering and talking to staff. When do you
administer the Lorazepam?
0/1
Immediately due to wandering
As soon as possible so she can go to bed
Correct answer
When you see signs of agitation
A patient is prescribed Metformin 1000 mg twice a day for his
diabetes. While taking with the patient he states “I never eat
breakfast so I take ½ tablet at lunch and a whole tablet at supper
because I don’t want my blood sugar to drop.” As his primary
care nurse you:
1/1
Tell him he has made a good decision and to continue
Tell him to take a whole tablet with lunch and with supper
Tell him to skip the morning dose and just take the dose at
supper
Tell him to take one tablet in the morning and one tablet in
the evening as ordered
Hypoglycaemia in patients with diabetes is more likely to occur
when the patients take the following except:
0/1
Insulin
Sulphonylureas
Correct answer
Metformin
Alone, metformin does not cause hypoglycemia (low blood
sugar). However, in rare cases, you may develop hypoglycemia
if you combine metformin with:
0/1
A poor diet
Strenuous exercise
Excessive alcohol intake
Correct answer
Other diabetes medications
Describe the breathing pattern when a patient is suffering from
Opioid toxicity:
0/1
Slow and shallow
Fast and shallow
Correct answer
Slow and shallow
A patient was on morphine at hospital. On discharge doctor
prescribes fentanyl patches. At home patient should be observed
for which sign of opiate toxicity?
1/1
Shallow, slow respiration, drowsiness, difficulty to walk,
speak and think
Correct answer
Slow and shallow breathing, dizziness, sleepiness
All but one are signs of opioid toxicity:
0/1
CNS depression (coma)
Respiratory depression (cyanosis)
Pupillary miosis
Tachycardia
Correct answer
Tachycardia
What are the key nursing observations needed for a patient
receiving opioids frequently?
0/1
Respiratory rate, bowel movement record and pain
assessment and score
Checking the patent is not addicted by looking at their
blood pressure
Lung function tests, oxygen saturations and addiction levels
Daily completion of a Bristol stool chart, urinalysis, and a
record of the frequency with which the patient reports
breakthrough pain
Correct answer
Respiratory rate, bowel movement record and pain assessment
and score
Which of the following drugs will require two nurses to check
during preparation and administration?
0/1
Oral antibiotics
Glycerine suppositories
Morphine tablet
Oxygen
Correct answer
Morphine tablet
Which is not a sign or symptom of speed shock?
0/1
Headache
A tight feeling in the chest
Irregular pulse
Cyanosis
Correct answer
Cyanosis
Which of the following are not signs of a speed shock?
0/1
Flushed face
Headache and dizziness
Correct answer
Peripheral oedema
While giving an IV infusion your patient develops speed shock.
What is not a sign and symptom of this?
1/1
Circulatory collapse
Peripheral oedema
Facial flushing
Headache
Oral corticosteriods side effect
1/1
Mood variation
Edema
What medications would most likely increase the risk for fall?
1/1
Loop diuretic
Hypnotics
Betablockers
NSAIDs
Maisie is 86 years old, and has been in the nursing home for 5
years now. She has been complaining of burning sensation in
her chest and sour taste at the back of her throat. What would
she most likely to be prescribed with?
0/1
Ranitidine
Zantac
Paracetamol
Levothyroxine
a and b
b and d
Correct answer
a and b
Mrs Z has been very chesty the last few days. She has been
having difficulty with breathing. You have referred her to the
GP, and requested for a home visit. What would probably be
prescribed by the GP?
0/1
Stalevo 200
Digoxin 40 mg
Trimethoprim 100 mg
Simvastatin 100 mg
Correct answer
Trimethoprim 100 mg
Mr Jones has been having Type 6 and 7 stools today. As you are
doing his medications, which of the following would you not
omit?
0/1
Docusate Sodium 2 Capsules
Lactulose 5 mL
Senna 10 mL
Simvastatin 100 mg
Correct answer
Simvastatin 100 mg
Pharmacokinetics can be described as:
1/1
The study of the effects of drugs on the function of living
systems
Correct answer
All of the above
Medication errors account for around a quarter of the incidents
that threaten patient safety. In a study published in 2000 it was
found that 10% of all patients admitted to hospital suffer an
adverse event (incident. How much of these incidents were
preventable?
0/1
20%
30%
50%
60%
Correct answer
50%